The duration of hospitalization before review by the rapid response team: A retrospective cohort study
| Autor: | Jennifer Holmes, John D. Santamaria, Roger J Smith, Espedito E. Faraone, David A Reid, Antony E Tobin |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Critical Illness Hospital mortality urologic and male genital diseases Critical Care and Intensive Care Medicine Cohort Studies medicine Humans Hospital Mortality Rapid response team Intensive care medicine Aged Resuscitation Orders Retrospective Studies Aged 80 and over Respiratory Distress Syndrome business.industry Attendance Retrospective cohort study Length of Stay Middle Aged female genital diseases and pregnancy complications Heart Arrest Hospitalization Hospital outcomes Charlson comorbidity index Emergency medicine Female business Hospital Rapid Response Team |
| Zdroj: | Journal of Critical Care. 30:692-697 |
| ISSN: | 0883-9441 |
| DOI: | 10.1016/j.jcrc.2015.04.004 |
| Popis: | The purpose of this study is to compare cases of rapid response team (RRT) review for early deterioration (48 hours after admission), intermediate deterioration (48 to168 hours after admission), late deterioration (≥168 hours after admission), and cardiac arrest and to determine the association between duration of hospitalization before RRT review and mortality.This is a retrospective cohort study of RRT cases from a single hospital over 5 years (2009-2013) using administrative data and data for the first RRT attendance of each hospital episode.Of 2843 RRT cases, 971 (34.2%) were early deterioration, 917 (32.3%) intermediate, 775 (27.3%) late, and 180 (6.3%) cardiac arrest. Compared with early deterioration patients, late deterioration patients were older (median, 71 vs 69 years; P = .005), had a higher Charlson comorbidity index (median, 2 vs 1; P.001), more often had RRT review for respiratory distress (32.5% vs 23.5%; P.001), more often received RRT-initiated not for resuscitation orders (8.4% vs 3.9%; P.001), less often were discharged directly home (27.9% vs 58.4%; P.001), and more often died in hospital (30.6% vs 12.8%; P.001). Compared with early deterioration and adjusted for confounders, the odds ratio of death in hospital for late deterioration was 2.36 (1.81-3.08; P.001).Late deterioration is frequently encountered by the RRT and, compared with early deterioration, is associated with greater clinical complexity and a worse hospital outcome. |
| Databáze: | OpenAIRE |
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